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Organization

THE BODY BUILDER, INC.

Active
Parent organization
THE BODY BUILDER, INC.
Other names
Freedom Mobility
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE BODY BUILDER, INC.
Authorized official
MRS. TAMMY JO OVERTON (OWNER)
(620) 688-6555
Entity
Organization

Contact information

Practice address
1121 WALNUT STREET, COFFEYVILLE, KS 67337-5921
(620) 688-6555
(620) 251-3148
Mailing address
1121 WALNUT STREET, COFFEYVILLE, KS 67337-5921
(620) 688-6555
(620) 251-3148

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/14/2011
Last updated
05/04/2011
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